Surveys Senior Counsel

State of California; California; On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

CalHR benefits

CalPERS retirement

PLP 2025 leave program

Job summary

The State of California’s Office of Plan Monitoring is seeking an Attorney III to perform high-level legal work related to Knox-Keene Act enforcement, health plan surveys, and regulatory compliance. The role includes reviewing plan documents, advising on corrective actions, and traveling to facilities as needed.

Desirable qualifications include expertise in health care law, policy analysis, and the ability to lead others in complex legal matters.

Qualifications

• Licensed attorney in California or eligible to practice in California.
• Experience applying health care law and administrative law in a regulatory context.
• Strong analytical and writing abilities for survey findings and enforcement actions.

Responsibilities

• Participate in survey planning and coordination activities.
• Review health plan documents and surveyor work products.
• Perform complex legal analysis of survey findings.
• Provide legal advice on corrective action plans to DPS and DMHC management.
• Travel to health plan facilities as required.

Skills

Public health law

Regulatory enforcement

Legal research

Survey planning

Policy analysis

Leadership guidance

Interpersonal communication

Education

Juris Doctor (JD)

Tools

Microsoft Teams

SharePoint

PowerPoint

Word

Excel

Job description

The Office of Plan Monitoring (OPM) is responsible for evaluating and ensuring health care service plan regulatory compliance, quality improvement, and network adequacy as related to provision of managed health care services. The OPM’s public health and legal professionals plan and conduct routine and non-routine evaluations of licensed health plans and review service delivery filings for legal adequacy in order to ensure enrollees receive appropriate, sufficient, and timely care.

Under the general direction of the Assistant Chief Counsel, Division of Plan Surveys (DPS) within the OPM, the Attorney III performs complex and sensitive legal work for the DMHC related to regulation and enforcement pursuing the Knox-Keene Health Care Service Plan Act of 1975 (“Knox-Keene Act,” Health and Safety Code Section 1340, et seq.). In particular, the Attorney III will work on medical surveys of the DMHC's licensed full-service and specialty health plans to assess for compliance with state and federal laws. Duties performed by the Attorney III will include, but not be limited to, participating in survey planning and coordination activities, reviewing health plan documents, reviewing surveyors' work product and performing complex legal analysis of the survey findings. The Attorney III position will also provide legal advice and counsel to both DPS and DMHC management concerning the terms and implementation of corrective action plans and review and provide recommendations with respect to referrals prepared by DPS attorneys to the DMHC’s Office of Enforcement.

The Attorney III will periodically travel to and work on-site at health plan facilities.

You will find additional information about the job in the Duty Statement.

Leave Program (PLP) 2025 agreement:

Effective July 1, 2025, the California Department of Human Resources (CalHR) implemented the temporary Personal Leave Program 2025 (PLP 2025). PLP 2025 directs that each employee receive a temporary reduction in pay in exchange for PLP 2025 leave credits. The temporary salary reduction percentage and the number of PLP 2025 leave credits are based on the position’s associated bargaining unit. The salary range(s) included in this job advertisement do not include the temporary salary reduction.

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

You will find additional information about the job in the Duty Statement.

Benefit information can be found on the CalHR website and the CalPERS website.

Minimum Requirements

• ATTORNEY III

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

• Experience with consumer advocacy, public service, and data/policy analysis
• Background and interest in health care law, public/governmental or administrative law
• Experience conducting research and writing in health care law
• Ability to serve as a lead attorney, providing guidance to other attorneys, non-legal staff, and consultants on complex, difficult, or sensitive legal issues
• Experience analyzing, interpreting, and implementing newly enacted legislation
• Ability to serve as a high-level advisor and provide consultation services to management and executive leadership
• Ability work cooperatively and effectively with others, including non-legal staff.
• Ability to prioritize workload and manage multiple projects simultaneously
• Ability to communicate professionally and effectively, both orally and in writing
• Proficient use of the following software programs: Microsoft Teams, SharePoint, PowerPoint, Word, and Excel